Influence of health status and loneliness on satisfaction with life, emotional dimensions, and distress in junior handball players

Miroljub Ivanović • Uglješa Ivanović

DOI: 10.31382/eqol.230604


This transversal study aimed to examine the contribution of predictor variables of the construct of health status (objective and subjective assessment of health) to the variability of the criteria satisfaction with life, emotional dimensions (positive affect, negative affect), and emotional factor of distress (depression, anxiety, and stress) in junior handball players. The pertinent sample consisted of 132 junior handball players in – Serbian First League. The average age of participants was 18.25 ± 0.90 years of age. The following measuring instruments were used: 1) the Depression, Anxiety, and Stress Scale – DASS-21, 2) De Jong Gierveld Loneliness Scale – DJGLS, 3) the Satisfaction with Life Scale‒ SWLS, and 4) The Positive and Negative Affect Schedule – PANAS showed satisfactory internal consistency. The conducted multiple regression analysis explained 51% of the proportion variance of the dependent variable satisfaction with life, positive and/or negative affectivity, and cognitive aspect of distress, where the only statistically significant negative predictors were loneliness and subjective assessment of health status. At the same time, when it comes to the assessment of loneliness in adolescents, these independent variables achieved significant interaction with the subjective assessment of health. This would mean that handball players, who subjectively assess their health as bad, and feel lonelier. On the other hand, the regression model did not confirm the role of the predictor variable objective assessment of health status and loneliness. This regression study has contributed to the existing literature and empirical data on the significance of the rarely explored relations between the constructs of health and well-being in the adolescent sports population. Theoretical contributions and practical implications for future research were also discussed.

Keywords: handball • adolescents • assessment of health • positive affect • negative affect.


Aouani, H., Slimani, M., Bragazzi, N. L., Hamrouni, S., & Elloumi, M. (2019). A preliminary validation of the Arabic version of the Profile of Emotional Competence questionnaire among Tunisian adolescent athletes and nonathletes: Insights and implications for sports psychology. Psychology Research and Behavior Management12, 155–167.

Aron, C. M., Harvey, S., Hainline, B., Hitchcock, M. E., & Reardon, C. L. (2019). Post-Traumatic stress disorder (PTSD) and other trauma-related mental disorders in elite athletes: a narrative review. British journal of sports medicine, 53(12), 779–784.

Achterbergh, L., Pitman, A., Birken, M., Pearce, E., Sno, H., & Johnson, S. (2020). The experience of loneliness among young people with depression: A qualitative meta-synthesis of the literature. BMC Psychiatry20(1), 415.

Cece, V., Guillet-Descas, E., Brenas, M., & Martinent, G. (2021). The role of dispositional emotion regulation strategies on the longitudinal emotional process and subjective performance during a competitive season. European Journal of Sport Science21(10), 1448–1458.

Cutler, B. A., & Dwyer, B. (2020). Student-athlete perceptions of stress, support, and seeking mental health services. Journal of Issues in Intercollegiate Athletics, 13, 206–226.

Castaldelli-Maia, J. M., Gallinaro, Falcão, R. S., Gouttebarge, V., & Hainline,  B .(2019).   Mental health symptoms and disorders in elite athletes: a systematic review on cultural influencers and barriers to athletes seeking treatment. British Journal of Sports Medicine,  53(11),707–21.

Cohen, J., Cohen, P., West, S. G. & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences, 3rd ed. Lawrence Erlbaum Associates Publishers.

Csikszentmihalyi, M. (2021). Adolescence. Encyclopedia Britannica. Dostupno na: [8. mart 2023] Chow, G. M., Bird, M. D., Gabana, N. T., Cooper, B. T., & Becker, M. A. S. (2021). A program to reduce stigma toward mental illness and promote mental health literacy and help-seeking in national collegiate athletic association division I student-athletes. Journal of Clinical Sport Psychology15(3), 185–205.

Chang, C., Putukian, M., Aerni, G., Diamond, A., Hong, G., Ingram, Y., & Wolanin, A. (2020). Mental health issues and psychological factors in athletes: Detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement—Executive Summary. British Journal of Sports Medicine, 54(4), 216–220.

De Lise, F.,  Bacaro, V., &  Crocetti, E. (2023). The Social Side of Sleep: A Systematic Review of the Longitudinal Associations between Peer Relationships and Sleep Quality. International Journal of Environmental Research and Public Health, 20(3),

de Jong Gierveld, J., & van Tilburg, T. (2006). A 6-item scale for overall, emotional, and social loneliness: Confirmatory tests on survey data. Research on Aging, 28, 582–598. doi:10.1177/0164027506289723Diener, E., Inglehart, R., & Tay, L. (2013). Theory and validity of life satisfaction measures. Social Indicators Research, 112, 497–527.

Demir, S. (2022). Comparison of Normality Tests in Terms of Sample Sizes under Different Skewness and Kurtosis Coefficients International Journal of Assessment Tools in Education, 9(2), 397–409. DOI: 10.21449/ijate.1101295

Fogaca, J. L. (2021). Combining mental health and performance interventions: Coping and social support for student-athletes. Journal of Applied Sport Psychology33(1), 4–9.

Field, A. (2009). Discovering Statistics Using SPSS. (3rd ed.), London: Sage Publications Ltd.

Houghton, S., Lawrence, D., Hunter, S. C., Rosenberg, M., Zadow, C., Wood L., & Shilton, T. (2018). Reciprocal relationships between trajectories of depressive symptoms and screen media use during adolescence. Journal of Youth and Adolescence, 47(11), 2453–2467.

Kim, D. S., & McCabe, C. J. (2022). The partial derivative framework for substantive regression effects. Psychological Methods, 27(1), 121–141.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343.

Madrigal, L. & Robbins, J. E. (2020). College athlete stress: An examination in United States Collegiate Athletics. Journal for the Study of Sports and Athletes in Education, 14(2), 123–139.

Mihić, LJ., Novović, Z., Čolović, P., & Smederevac, S. (2014). Serbian adaptation of the Positive and Negative Affect Schedule (PANAS): Its facets and second–order structure. Psihologija, 47(4), 393–414. doi:10.2298/PSI1404393M

Miles, J. (2014). Tolerance and variance inflation factor. Wiley StatsRef: Statistics Reference Online.

Suárez Iglesias, D., Soto, D., Ayán, C., & Martínez-de-Quel, Óscar. (2023). The impact of Covid-19 on healthy habits and psychological well-being of Chilean female handball players. E-balonmano.Com:Journal Sports Science19(1), 1–12.

Suh-Ting,  L., Ying-Hua, H.,   & Meng-Hua, Y.   (2022). The Relationships among Sport Participation Level, Flow Experience, Perceived Health Status and Depression Level of College Students, International Journal of Environmental Research and Public Health, 20(1), 251

Šantl, L., Brajković, L., & Kopilaš, V. (2022). Relationship between nomophobia, various emotional difficulties, and distress factors among students. European Journal of investigation in HealthPsychology and Education Eur. J. Investig. Health Psychol. Educ., 12, 716–730. ejihpe12070053

Twenge, J.M., Haidt, J., Blake, A.B., McAllister, C., Lemon, H. & Le Roy, A. (2021). Worldwide increases in adolescent loneliness. Journal of Adolescence, 93, 257–269.

Von Rosen, P., Olofsson, O., & Annette Heijne, A. (2020). Correlates of health in adolescent elite athletes and adolescents: A cross-sectional study of 1016 adolescents. European Journal of Sport Science (EJSS), 19(5), 707–716.

Woolfe, S. (2019). The Problem of Boredom: A Philosophical Perspective. Dostupno na: [9. Mart 2023]